Senior Systems Support Specialist III - Medical Imaging / Linux

At Intelerad, we believe the path to answers in healthcare should be clear-whether you are waiting for a diagnosis or trying to expedite one. Our medical imaging solutions streamline the flow of information, simplifying complex processes, maximizing efficiencies, and shining a light on the unknown. We empower physicians to get patients the answers they need faster and improve outcomes for everyone. With more accessible imaging, we are getting patients out of the dark.  

Headquartered in Raleigh, NC and Montreal, Intelerad has nearly 800 employees located in offices across four countries. The company empowers nearly 2,000 healthcare organizations around the world with the speed, scalability, and simplicity needed to increase business performance while, most importantly, improving patient outcomes. Intelerad’s modern enterprise solutions have been acknowledged by a Best in KLAS recognition, ranking #1 for PACS Asia/Oceania in the 2021 Best in KLAS: Global Software (Non-US) report.

Purpose

The Level III – Senior System Support Specialist serves as a senior technical expert within the Healthcare IT team, providing advanced support for Radiology Information Systems (RIS), Picture Archiving and Communication Systems (PACS), Vendor Neutral Archives (VNA), and other imaging platforms. This role is responsible for resolving complex technical issues, optimizing system performance, supporting system integrations, and mentoring junior support staff. The ideal candidate is highly experienced in radiology IT environments, understands interoperability standards, and plays a key role in ensuring the availability, security, and compliance of mission critical healthcare systems.

Responsibilities

• Serve as a senior escalation point for complex technical issues involving RIS, PACS, VNA, and integrated systems
• Lead troubleshooting efforts involving interoperability protocols such as DICOM, HL7, and IHE, ensuring seamless data exchange across platforms
• Collaborate with clinical stakeholders, internal IT teams, and external vendors to resolve systemic issues and improve system workflows
• Contribute to the planning and execution of system upgrades, migrations, and patching activities
• Develop and implement best practices for system monitoring, alerting, and performance tuning
• Guide junior support specialists in diagnosing issues and documenting resolutions; support knowledge sharing and cross-training
• Participate in disaster recovery strategy development, backup procedures, and testing
• Maintain a high standard of documentation for incidents, resolutions, procedures, and known issues
• Engage in continuous improvement of support processes and tools
• Ensure compliance with HIPAA, FDA medical device regulations, ISO 13485, and internal cybersecurity policies
• Collaborate with project teams to support the technical execution of new implementations or system integrations
• Assist in the review and development of support documentation, user guides, and internal runbooks
• Handle incoming client calls and provide direct phone support, ensuring professional and effective communication while resolving technical issues
• Work evening and weekend shifts as part of the regular schedule
• Provide after-hours support as part of an on-call rotation, including holidays and weekends, for high-priority incidents.

Employment Prerequisites

• Bachelor’s degree in Computer Engineering, Healthcare Informatics, or a related field (or equivalent experience)
• 5+ years of experience in Healthcare IT support, with a strong focus on radiology environments
• Advanced experience with PACS, RIS, VNA, and clinical imaging workflows
• In-depth knowledge of DICOM, HL7, and other healthcare interoperability standards
• Strong diagnostic skills across application, operating system, and network layers
• Proficiency in Windows Server environments (2012–2022), Linux systems, VMware, and storage solutions
• Hands-on experience with SQL Server, Oracle, and/or PostgreSQL
• Demonstrated ability to lead troubleshooting efforts and drive resolution for cross-functional technical issues
• Strong written and verbal communication skills for technical and clinical audiences
• Experience using ITSM tools such as ServiceNow, Salesforce, or ZenDesk
• Solid understanding of HIPAA and cybersecurity best practices in a healthcare setting.

Desired Competencies

• Certifications in relevant technologies (e.g., Microsoft, VMware, Cisco)
• Red Hat Certified System Administrator (RHCSA) certification
• Scripting/automation experience (PowerShell, Bash, Python). • Experience with cloud-based medical imaging solutions and telemedicine technologies
• Fluency in additional languages (French is a strong asset)
• Experience mentoring or training support staff

This job description may not be inclusive of all assigned duties and the scope of the job may change as necessitated by business demands.

All your information will be kept confidential according to EEO guidelines.

All applicants meeting minimum qualifications will be required to complete a 30 minute online assessment as part of your application.

#LI-REMOTE

Intelerad is committed to the principles of equal employment. We are committed to complying with all federal, state and local laws providing equal employment opportunities and all other employment laws and regulations. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age , disability and genetic information (including family medical history). Intelerad is dedicated to the fulfillment of this policy regarding all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment. 

Intelerad is committed to ensuring equal employment opportunity for qualified individuals with disabilities. Intelerad uses the Americans with Disabilities Act (“ADA”)as a standard for global recruiting and hiring purposes. This prohibits discrimination against qualified individuals with disabilities. The ADA defines “disability” as a physical or mental impairment that substantially limits one or more of the major life activities of an individual, a record of such impairment, or being regarded as having such an impairment